complaint·May 21, 2025

According to one witness interview this form was not given to the resident or RP on admission to fill it out. Another witness interview revealed the staff helped with hearing aids on several visits, but R1 also refused the hearing aids at other times and did not want to put them on with visitors. Staff and witness interviews revealed that you could speak in a clear loud voice and communicate with R1 and that is how R1 wanted to communicate at times. The facility did not feel responsible for taking care of the hearing aids and batteries. Based on the LIC. 602A medical records for R1, R1 wore hearing aids and needed assistance and R1 is able to refuse to wear them at times the facility accepted R1 into care knowing he needed assistance with hearing aids therefore the allegation is Substantiated at this time. Exit interview conducted, copy of report and appeal rights printed for Administrator. LPA interviewed witness that revealed they had never seen R1 left soiled in urine, R1 had wounds, and those wounds never got worse and cleared up quickly which would not have occurred if R1 had been frequently left soiled in urine. Interviews also revealed R1 was having difficulty in the evening, became combative at times and refused care. Based on the evidence this allegation is deemed Unsubstantiated at this time. On the allegation: Resident sustained pressure sore while in care of staff. LPA interviewed staff, witness and reviewed medical records which revealed R1 did have two pressure sores during R1’s time at the facility due to being bedridden or in a recliner chair all day, R1 did get staff assistance for rotating and turning according to Hospice recommendations for R1. According to Hospice R1’s pressure sores were caused from being bedbound with skin breakdown due to disease progression, the pressure sores did not get worse and one was cleared within 2 week period and the other within a month and that would not have happened if the facility was not taking care of R1 properly. Based on the evidence this allegation is deemed Unsubstantiated. On the allegation: Resident sustained multiple UTI’s while in care of staff. LPA De Leon interviewed staff, witnesses and reviewed medical records which revealed R1 had a history of UTI’s, R1 was taking medication for UTI’s and when R1 was admitted to Hospice R1 had a current UTI and Medical records stated R1 had a history of UTI’s. Based on the evidence this allegation is deemed Unsubstantiated . Exit interview conducted and copy of report printed for Administrator.